Data Request Form

Terms and Conditions of Use
Any use of data provided by GPTCHB must be presented or published in a manner that protects individual identity. Every effort has been made to protect the identities of persons represented in the data provided to us. Data provided may only be used for the purposes for which it was requested.
In order for the GPTEC DCU to provide public health data to you, it is necessary that you agree to the following provisions:

I will not use - or permit others to use - the data in any way other than for statistical reporting and analysis. I must notify the GPTCHB if I discover that there has been any other use of the data.
I will not present or publish data in which an individual can be identified. I will not publish any information on an individual. In addition, I will avoid publication of statistics for very small groups.
I will not attempt either to link - or permit others to link - the data with individually identified records in another database.
If I inadvertently discover the identity of any individual, then (a) I will make no use of this knowledge, (b) I will notify the GPTCHB of the incident, and (c) I will inform no one else of the discovered identity.
I will cite the source of information in all publications. The appropriate citation is provided upon fulfillment of the data request.
I will not misrepresent myself, the organization with which I am affiliated, or how I intend to use the data.
Terms of use including the purpose, destruction, and publication of data will be agreed to before data are released.
Tribal Letters of Support and/or a Tribal Resolution may be required prior to the release of data.

What ages would you like the data to include?*
- All ages combined
- Individual years of age
- Custom age groups
Please specify age range(s) or ages desired.*
Would you like the data combined across the ages or range(s) identified?*
- Yes
- No
Please specify custom age group(s) desired.*
Would you like the data combined across the age group(s) identified?*
- Yes
- No

Please tell us about your experience:
How did you hear about the GPTEC Data Request Portal?*
How would you describe the usability of the online data request form?*
What suggestions do you have for improving the online data request form or the data request process?*

Policy Summary:
All data requests are subject to availability. The DCU will make every effort to fulfill requests in a timely manner. Data requests can take two weeks or longer to complete. The DCU retains the right to deny requests for any reason. For any questions, please contact Sean Jackson at [email protected]
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Terms and Conditions of Use